JAMES J MAYNARD (NPI# 1104836808) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104836808 |
| Entity Type | Individual |
| Full Name | JAMES J MAYNARD |
| Credential | M.D. |
| Practice Address |
500 Grace Lane Austin TX 78746 |
| Mailing Address |
500 Grace Ln Austin TX 78746-4815 |
| Practice Telephone | 5123436067 |
| Mailing Telephone | 5123436067 |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2014-07-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BLUE CROSS BLUE SHIELD | A36U | 01 |
| TX | P000A36U4 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942229166 | James Paul Maynard | Specialist | 85 N Grand Ave 6th Fl, Fort Thomas, KY 41075-1793 | 2006-07-19 |
| 1679565196 | James Lewis Maynard | Specialist | 222 S Herlong Ave, Rock Hill, SC 29732-1158 | 2005-08-19 |
| Street Address |
500 GRACE LANE |
| City | AUSTIN |
| State | TX |
| Zip Code | 78746 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366053175 | Ethan Zimmerman | Student in an Organized Health Care Education/Training Program | 901 Mopac Expressway South, Barton Oaks Plaza 4, Suite 350, Austin, TX 78746 | 2020-08-14 |
| 1205468782 | Fernanda Barcelo | Counselor | 1004 Mopac Circle, Suite 100, Austin, TX 78746 | 2020-02-12 |
| 1689219842 | Explorer Dental, Pllc | Clinic/Center | 3300 Bee Caves Road Suite 290, Austin, TX 78746 | 2019-11-12 |
| 1992354765 | Janna Harris | Psychologist | 3801 N. Cap. Tx. Hwy; E240-157, Austin, TX 78746 | 2019-09-05 |
| 1922652346 | Katherine Grace Robertson | Registered Nurse | 2001 South Mopac Expwy, #824, Austin, TX 78746 | 2019-07-25 |
| 1780248252 | Brooklie Benson Gonzales | Counselor | 5000 Bee Caves Road, Suite 100, Austin, TX 78746 | 2019-04-30 |
| 1447714910 | Erik Jensen Lpc Pllc | Counselor | 3811 Bee Caves Road, Suite 204, Austin, TX 78746 | 2019-01-29 |
| 1588137897 | Sarah Akunebu | Marriage & Family Therapist | 2525 Wallingwood Dr., Bldg. 1, Suite 211, Austin, TX 78746 | 2019-01-09 |
| 1952886962 | Erika Jane Vivyan | Psychologist | 205 Wild Basin #3 Suite 202, Austin, TX 78746 | 2018-09-26 |
| 1891277190 | Thrive Mind Therapy Pllc | Counselor | 1406 Camp Craft Rd Ste 205, West Lake Hills, TX 78746 | 2018-09-04 |
| Find all providers in zip 78746 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861010126 | Ankita Krishnan | Psychologist | 1601 Trinity St Bldg B, Austin, TX 78712-1765 | 2020-07-13 |
| 1982253555 | Sarah A Koenig | Psychologist | 8500 Shoal Creek Blvd Bldg 4, Austin, TX 78757-7591 | 2019-09-06 |
| 1447669874 | Nicholas Dale Taylor | Psychologist | 8500 Shoal Creek Blvd Ste 201, Austin, TX 78757 | 2014-08-11 |
| 1366697203 | Kim Suzanne Davis | Psychologist | 3724 Jefferson St Ste 207, Austin, TX 78731-6221 | 2008-11-19 |
| 1821252685 | Lynn Monnat | Psychologist | 1600 W 38th St Ste 212, Austin, TX 78731-6405 | 2008-07-10 |
| 1891823373 | Pamela Louise Retterath | Psychologist | 54135 244th St, Austin, MN 55912-5636 | 2007-02-28 |
| 1235744418 | Ana F. El Behadli Gonzalez | Psychologist | 4900 Mueller Blvd, Austin, TX 78723-3079 | 2020-09-14 |
| 1891264396 | Laura Beth Frame | Psychologist | 6012 W William Cannon Dr Ste B103, Austin, TX 78749-1978 | 2018-11-14 |
| 1821591231 | Meredith Irene Brinster | Psychologist | 6012 W William Cannon Dr Ste B103, Austin, TX 78749-1978 | 2018-03-12 |
| 1174065247 | Alexandra Lamari-fisher | Psychologist | 1600 W 38th St Ste 212, Austin, TX 78731-6405 | 2016-11-07 |
| Find all providers in AUSTIN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.